mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. what I wish I could say to my AAOX3 patients!

    No, we don't have a hospitality suite where all of your family can get free soda and snacks. The items I have on hand are for the patients who missed meals. And I cannot roll 3 cots into the room for...
  2. How do you handle phone calls from family/others?

    Every facility must have a policy about dealing w/family members. There should be at most 2 people that can call for info, and everyone else should be directed to those people. When my mom was in the...
  3. Toileting Bariatric Patients

    How did the pt manage prior to hospitalization?
  4. Don't concern yourself with finding a 'niche' or specialty for a while. I did Neonatal ICU right out of school, then IV Therapy for a few years. ICU, both med and surg, Acute dialysis, eventually...
  5. Traumatized by pt's attempted suicide

    So sorry this happened on your shift. It is simply not always possible to know when someone's behaviour is going down the drain. If you don't get support from your manager, please go to a counselor...
  6. Problem with an admit and Survey

    I am confused. The dx to the hospital was dehydration due to flu, but the readmitting dx would be resolved dehydration. And yes, you need to somehow keep track of I&O. Does the doc know that...
  7. Protocol for Going on trip with Patient

    Even if MAW pays for the room, someone has to actually check in! And then they need current ID. So mom needs to get it this week. Please let us know how this unwinds. Keep in
  8. Protocol for Going on trip with Patient

    Your own room is a MUST. You are entitled to privacy. Do not get guilted into staying with them in their room. Make sure you stick to your eight hours - - you may not be covered if something happens...
  9. Hondros Nursing School Requirements

    Fribblet - - I see at least two commas and a question mark. Why complain? !!! BTW- What is
  10. Latex Allergy

    If they have a true allergy to bananas, then be very careful. Bananas are closely related to the rubber tree. Most people only have a mild skin reaction - - the ones you have to be very concerned...
  11. When I did home health, I usually wore a solid color top, colorful print short-sleeved scrub jacket, and black slacks. On holidays, I would try to find something fun - usually deely-boppers - to...
  12. Latex Allergy

    Bananas
  13. Struggling to get Assertive

    Look for a Toastmasters club in your town. This is a group of people who meet usually monthly, sometimes more often, and give little 'speeches' to each other. Sometimes they hav a known topic, other...
  14. Holiday Pay Policy

    Since the 5th this year is the 'day off', that is the day people should get holiday pay for. It becomes complex any time a holiday falls on a week
  15. fell asleep during night shift.

    Apologizing is appropriate, and did you explain that you did a double? And how 'late' could the meds have been? Sorry this happened to you. Best
  16. Transition to electronic medical records

    You can never have enough training - and 16 hours does NOT seem like very much at all. Further, they need to bring in as much help as they can for 2-3 WEEKS so you all have time to get up to speed....
  17. Can anyone tell me?

    If you haven't brought this to the attention of your manager, now is the time. There is something very fishy here, and she is wasting everyone's
  18. Compression bandages and wet venous ulcers

    When you say 'clinicians' are you referring to MDs? Maybe you need a wound care
  19. Help me with patient with unstable diastolic blood pressure

    You don't say what her pressure usually ran, so it is hard to know what to tell you. I have had more than a few patients with diastolic pressures in the 50's. Always call your clinical manager to...
  20. ER triage/billing

    Ask for an appeal, since you feel the charges are too high. If you do not have insurance, offer to settle the bill for a reduced amt. Often, they will take a small amt just to close it out....
  21. please help with my situation

    I live in a fairly urban area - we still have deer, raccoons, possum, and squirrels on the road! GO FOR IT!!!! BEST
  22. Question regarding a HIPAA violation...

    This is a prosecutable offense. Find out what the HOSPITAL is going to do. Get your own lawyer, as
  23. UTI questions

    A bad UTI can become systemic - so you not only have the burning and frequency, but start running a fever and can get quite ill. Many times the only obvious sign in the elderly is a change of mental...
  24. Athletes heart rate

    I have seen sleeping heart rates in runners down in the 40's. No kidding. I don't recall the physiology involved, but athletes do tend to run low at
  25. Scared to float

    Insist on a minimum 3-5 day orientation to any unit that you might be floated to. I have always thought it is unreasonable to ask nurses to care for patients that are far outside of their usual area....